2026 ICD-10-CM Diagnosis Code S41.139SPuncture wound without foreign body of unspecified upper arm, sequela
S41.139S is a billable ICD-10-CM diagnosis code for puncture wound without foreign body of unspecified upper arm, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 604 through 605. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
S41.139S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the shoulder and upper arm (S40-S49).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Gunshot wound of axillary region
- Gunshot wound of shoulder region
- Gunshot wound of upper arm
- Nail wound of upper arm
- Needle stick injury of axilla
- Needle stick injury of shoulder
- Needle stick injury of upper arm
- Pellet wound of upper arm
- Puncture wound of axilla
- Puncture wound of shoulder
- Puncture wound of upper arm
- Puncture wound of upper arm without foreign body
- Stab wound of upper arm
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Open wound of shoulder and upper arm (S41). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Arm Injuries and Disorders
Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.
Read the full article at MedlinePlus
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Convert S41.139S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S41.139SOverview
What is the ICD-10 code for puncture wound without foreign body of unspecified upper arm, sequela?
The ICD-10-CM code for puncture wound without foreign body of unspecified upper arm, sequela is S41.139S (sometimes written as S41139S). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is S41.139S (Puncture wound without foreign body of unspecified upper arm) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report puncture wound without foreign body of unspecified upper arm, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in S41.139S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the puncture wound without foreign body of unspecified upper arm itself has resolved, not the original event.
What MS-DRG does S41.139S group to?
When puncture wound without foreign body of unspecified upper arm, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 604, 605, with relative weights from 0.9160 to 1.4721 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S41.139S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for puncture wound without foreign body of unspecified upper arm, sequela on inpatient claims. The code appears in the Injuries to the shoulder and upper arm (S40-S49) range of the CMS exempt list.
